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HIV-1感染中针对重组HIV-1核心蛋白和基质蛋白的抗体滴度的流行率和持续性

Prevalence and persistence of antibody titers to recombinant HIV-1 core and matrix proteins in HIV-1 infection.

作者信息

Janvier B, Mallet F, Cheynet V, Dalbon P, Vernet G, Besnier J M, Choutet P, Goudeau A, Mandrand B, Barin F

机构信息

Unité de Virologie, URA CNRS 1334, CHRU Bretonneau, Tours, France.

出版信息

J Acquir Immune Defic Syndr (1988). 1993 Aug;6(8):898-903.

PMID:8315575
Abstract

Numerous studies have established the correlation between antibodies to the core protein p24 of HIV-1 and the progression of the acquired immunodeficiency syndrome. In this study, we analyzed the immune response to two recombinant gag proteins, p24 and p17, in order to evaluate their diagnostic or prognostic significance. Immune response to the immunodominant domain of the transmembrane glycoprotein gp41 was used as a reference. Sera collected from individuals from France and Burundi (Central Africa) at various CDC stages of HIV-1 infection were tested using three sandwich enzyme-linked immunoassays developed with a synthetic peptide corresponding to the immunodominant domain of gp41, SP gp41, or recombinant p24 and p17 cloned and expressed in Escherichia coli. These assays allowed detection of titer antibodies to the three cited antigens. Antibodies to SP gp41 were detected in every HIV-1-positive patient from France and Burundi, generally at a high and stable level. Results obtained with p24 confirmed the value of antibodies to p24 as a prognostic marker only in European and North American populations, since the African population had very high levels of these antibodies even at an advanced stage of the disease. They also confirmed that initial antibody response to p24 is more predictive of outcome than antibody titer change over time. Although antibodies to p17 decline during progression to AIDS, they are frequently absent in French patients at early, asymptomatic stages and therefore could not be used as a prognostic marker. In contrast, antibodies to p17 are significantly less common in African patients with AIDS when compared with symptomless HIV-1-infected African individuals.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

众多研究已证实HIV-1核心蛋白p24抗体与获得性免疫缺陷综合征进展之间的相关性。在本研究中,我们分析了对两种重组gag蛋白p24和p17的免疫反应,以评估它们的诊断或预后意义。将对跨膜糖蛋白gp41免疫显性结构域的免疫反应用作对照。使用针对gp41免疫显性结构域的合成肽SP gp41、或在大肠杆菌中克隆并表达的重组p24和p17开发的三种夹心酶联免疫吸附测定法,检测从法国和布隆迪(中非)处于HIV-1感染不同美国疾病控制与预防中心阶段的个体采集的血清。这些测定法能够检测针对上述三种抗原的抗体滴度。在来自法国和布隆迪的每例HIV-1阳性患者中均检测到针对SP gp41的抗体,其水平通常较高且稳定。对p24检测所得结果证实,仅在欧洲和北美人群中,p24抗体作为预后标志物具有价值,因为非洲人群即使在疾病晚期这些抗体水平也非常高。这些结果还证实,对p24的初始抗体反应比抗体滴度随时间的变化更能预测预后。尽管在进展至艾滋病过程中p17抗体水平下降,但在法国患者早期无症状阶段这些抗体常常缺失,因此不能用作预后标志物。相比之下,与无症状HIV-1感染的非洲个体相比,艾滋病非洲患者中p17抗体明显少见。(摘要截短于250词)

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